PETER BALACKY DENTAL CORPORATION is an oral and maxillofacial surgery dentist in Los Angeles, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PETER BALACKY DENTAL CORPORATION NPI is 1871212738. The provider is registered as an organization entity type and is a single specialty group. The provider Is Doing Business As Larchmont Village Oral Surgery.
The provider's business location address is:
321 N LARCHMONT BLVD STE 613 LOS ANGELES, CA ZIP 90004-051 Phone: (323) 465-6451
The provider's authorized official is Peter Balacky . The authorized official title is Owner and has the following contact phone number (646) 756-9450.
The enumeration date for this NPI number is 8/24/2022 and was last updated on 4/2/2024.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
